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Chapter 17 - Combined Keyhole Paramedian Supracerebellar-Transtentorial Approach

from Section II - Open Combined Approaches

Published online by Cambridge University Press:  05 October 2021

By
Steven Carr ,
Amit Goyal  and
Charlie Teo
Edited by
Vijay Agarwal
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Summary

Lesions requiring resection in the posterior mediobasal temporal or adjacent occipital lobe can be difficult to access surgically. An extra-axial supracerebellar approach utilizing an opening in the tentorium can be accomplished through a keyhole suboccipital paramedian craniotomy to give the surgeon adequate exposure to address lesions in this location. Herein we describe the keyhole technique for a supracerebellar-transtentorial approach to posterior mediobasal temporal lesions and the associated benefits, challenges, and clinical pearls.

Keywords

supracerebellar transtentorialposterior temporal lobekeyholeendoscope
Type
Chapter
Information
Integrated Management of Complex Intracranial Lesions
Open, Endoscopic, and Keyhole Techniques
 , pp. 182 - 186
Publisher: Cambridge University Press
Print publication year: 2021

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References

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